HomeMy WebLinkAboutHeating Permit 07-0567
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2 Green City
3. Yellow Applicant
PERMIT NO. 0-'. 05<0'7
I
ZONING (office use)
(Please type or print and si~ at bottom)
ADDRESS
I ~ 5311 01 eA/\JcJp-" A-ve ~ ~p
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER IJ A ~
(Name) T\U07 74. j,~~V1 (Phone)
(Address) JI15'?C[GdevtJal~ ~ ~e.1 foOY Lcl~ ft1/V !?~3'7-.:2
APPLICANT /)
(Name) L'/~,a~/ -r:.-vz ~. (Phone) 2L7;;l-'9/f/--fCY,1/
(Address) 7'1 O~ t{/~ ',VlC,-h?n A~ve p . f3...r} pA4-f rt::t j' Y' e )/J 1\1 . ~7 ;:? ~y
(Mdress) / (City) / . (Zip Code)
(Contact Person) ...:r-O"h v1 ~~lp_~ j (Phone) 9t:Jbl-9if I-fCY'/
APPLICANT SIGNATURE ~~/7LVl./".LJ~- DATE _ /P-/I-z:t7
I~?APPLICANT PL~ASE ~LETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT J3 AL TERA TIO
FURNACE MAKE AND MODEL EL
FLUE SIZE RETURN OPENINGS
Industrial, Commercial & Multi-Family
FEE SCHEDUU
I % of job cost Reside
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
,
OUTP~T
R PLANT ~ iNOTE:
t)/tlS.I" if i~~~~
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
1> Ut-T
M)i~;AJ
o Steam
o Hot Wate
o Radiatio
o Specia evices
o Other evices
I
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ '1, 11M
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 31,50
$ .50
$ l(I2f'7(Y
'Office Use Only)
Building Official
Paid 40 -
Date 1 '7
. .) () 7
J ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Re 1pt NO,C; 1'l.) 1 ~
By
Chis Application Becomes Your Building Permit When Approved
Date